PRAYER REQUEST

I provide this service free of charge.

Prayer Request Form

Name *

First

Last

Your Age *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Please confirm your Email *

How did you find this site? *

Is this prayer for yourself or a loved one? *

If this prayer request is for someone other than yourself, I ask that you please make sure that you get their permission. You can simply ask them "Is it okay with you if I ask for a prayer request for you?" or something to that extent. The only exception to this rule is, if the person I will be praying for is your child and is a minor.

If this prayer request is for a loved one, did you ask permission from them for this prayer request *

Photo of yourself or loved one *

Max file size: 20MB

Please descibe in the field below what I will be praying for. If this prayer request is for someone other than yourself, please include their full name, age and please make sure you attached thier photo to this form. *

Please note that by requesting a prayer, you are agreeing to the terms below:
I understand that Divinity Healing or it's employees shall not be held accountable for the results that are attained.

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